Realm Aesthetics

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

REALM AESTHETICS

Practice address

1220 NE Crossing Station Drive
Suite 110
Grimes, IA 50111

Phone

(515) 230-7592

NPI assigned

Jun 11, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Krystal Or Stephanie Ann Blomgren, RN

Title

Founder/Lead Injector

Phone

(515) 230-7592

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1174418859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N ANKENY BLVD PO BOX 364",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "50023",
            "telephone_number": "515-230-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 NE CROSSING STATION DRIVE",
            "address_2": "SUITE 110",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "50111",
            "telephone_number": "515-230-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALM AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "BLOMGREN",
        "authorized_official_first_name": "KRYSTAL OR STEPHANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "FOUNDER/LEAD INJECTOR",
        "authorized_official_telephone_number": "515-230-7592",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Grimes, IA
• Providers in Grimes, IA by specialty
• Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.